A systematic review: endometriosis presenting with ascites

Abstract

Endometriosis-related ascites and/or pleural effusion refers to extensive disease with a high risk for recurrence which usually affects non-Caucasian, nulliparous women of reproductive age and leads to clinical symptoms resembling those of an ovarian malignancy. Therefore, clinicians should consider endometriosis in differential diagnosis of pelvic masses and also include endometriosis in diagnostic workup of ascites or pleural effusion.

Endometriosis Revealed by Recurrent Hemorrhagic Ascites

“…Since the description of the first case by Brews in 1954 [4], the literature relates only sixty sporadic cases [3]. And in our country there was no case published on that issue.…”

“…Ascites is a rare manifestation of endometriosis [3]. Since the description of the first case by Brews in 1954 [4], the literature relates only sixty sporadic cases [3].…”

“…Indeed facing this type of ascites, practitioners generally evoke, in first intention,peritoneal tuberculosis, neoplastic pathologies, or Demons-Meigs syndrome [3] [7].…”

Endometriosis associated with relapsing ascites and pleural effusions

“…Since its original description, there are 60 patients reported in the literature (Gungor et al 2011;Ferrero and Remorgida 2011;Appleby et al 2014). Treatment options in this challenging scenario include surgical intervention and/or hormonotherapy, including danazol, oral contraceptives, GnRH analogues and progestational agents (Muneyyirci-Delale et al 1998).…”

Endometriosis and Ascites: A Strategy to Achieve Pregnancy

“…There is no unifying theory regarding its origin, as none of them fully explains all manifestations seen in this condition, including mostly dysmenorrhea, pelvic pain, dyspareunia, and infertility (2). It generally affects the peritoneum, the ovaries and the rectovaginal septum and less frequently, the gastrointestinal tract, the urinary tract, or extra-abdominal sites, giving rise to a wide variety of clinical symptoms (3).…”